# CESAR G. MANIQUIS, M.D., LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154648855
- **Authorized official:** DR. CESAR G MANIQUIS MD (PRESIDENT/OWNER)
- **Authorized official phone:** (847) 362-5650

## Contact information

- **Practice address:** 303 E PARK AVE, SUITE 103, LIBERTYVILLE, IL 60048-2898
- **Practice address phone:** (847) 362-5650
- **Practice address fax:** (847) 362-5843
- **Mailing address:** 303 E PARK AVE, SUITE 103, LIBERTYVILLE, IL 60048-2898
- **Mailing address phone:** (847) 362-5650
- **Mailing address fax:** (847) 362-5843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 3648767 | IL | Yes |

## Other

- **Enumeration date:** 04/21/2010
- **Last updated:** 09/05/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036048767 | — | IL |
